| NPI | 1174980502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AK 101205) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: AK 101205) |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: AK 101205) | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: AK 101205) | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |