| NPI | 1508848623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: LA MD206986) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: LA 1937) |
| 208D00000X General Practice (Licence: LA MD.206986) | |
| 133V00000X Dietitian, Registered (Licence: LA 1937) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: LA 1937) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: LA 1937) | |
| 133N00000X Nutritionist (Licence: 1937) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 1937) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2024-04-23 |