| NPI | 1508262494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK LD1295) |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |