| NPI | 1487615654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: WV 84) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: OH 4155) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PA DN000489) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-03-06 |