| NPI | 1215066766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 525) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 525) |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: NM 525) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-04-20 |