| NPI | 1689146615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 86046304) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MI 86046304) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |