| NPI | 1366781676 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT81903)  | 
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX dt81903)  | 
| Enumeration Date | 2013-02-06 | 
| Last Update Date | 2014-02-13 |