| NPI | 1336547074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |