| NPI | 1417025016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT81640) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: TX DT81640) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX DT81640) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-08-15 |