| NPI | 1457863722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: DC DI100000767) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000767) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |