| NPI | 1740054618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: 860649) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 860649) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |