| NPI | 1629455753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1574) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PR 1574) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-01-17 |