| NPI | 1649614363 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PR 1651) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered | 
| Enumeration Date | 2013-04-24 | 
| Last Update Date | 2013-04-24 |