| NPI | 1407214331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: TX DT80737) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2016-02-10 |