| NPI | 1649362369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 13) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MT 13) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MO 13) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NE 13) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-12-17 |