| NPI | 1245863943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 1015936) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX 1015936) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |