| NPI | 1174181713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: 86034582) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86034582) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2021-07-12 |