| NPI | 1497042428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 1037412) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: CO 1037412) |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: CO 1037412) | |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: CO 1037412) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-03-14 |