| NPI | 1588360937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: 954764) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-1261) |
| 133V00000X Dietitian, Registered (Licence: ID D-1419) | |
| 133V00000X Dietitian, Registered (Licence: WY 461) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |