| NPI | 1558649400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT02348) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT02348) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX DT02348) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |