| NPI | 1669039285 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: FL ND8305) | 
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal | 
| Enumeration Date | 2019-05-20 | 
| Last Update Date | 2024-07-09 |