| NPI | 1609237031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 7447) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL ND 7447) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: FL ND 7447) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND 7447) | |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2016-03-12 |