| NPI | 1669913612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4163) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD DX4163) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MD DX4163) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD DX4163) | |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2020-07-02 |