| NPI | 1568959021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered | 
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal | 
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2018-04-19 | 
| Last Update Date | 2018-04-19 |