| NPI | 1164573275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD D01526) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000367) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD D01526) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MD D01526) | |
| 133N00000X Nutritionist (Licence: MD D01526) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: MD D01526) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD D01526) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-02-01 |