| NPI | 1518262146 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MO 2008008963) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: MO 2008008963) |
| 133V00000X Dietitian, Registered (Licence: MO 2008008963) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MO 2008008963) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2013-03-24 |