| NPI | 1134913908 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86331398)  | 
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 86331398)  | 
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: 86331398)  | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: 86331398)  | |
| Enumeration Date | 2025-04-07 | 
| Last Update Date | 2025-04-07 |