| NPI | 1316518749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NC 996903) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L003166) |
| 133V00000X Dietitian, Registered (Licence: NC 996903) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |