| NPI | 1508106717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: CA 886198)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 886198)  | 
| Enumeration Date | 2013-02-25 | 
| Last Update Date | 2013-02-25 |