| NPI | 1487104717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NM LD0928) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT84382) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2017-01-27 |