| NPI | 1124352950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID 862927) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: ID 862927) |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: ID 862927) | |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2020-10-02 |