| NPI | 1467689141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000120) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: PA DN000120) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PA DN000120) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: PA DN000120) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2018-04-17 |