| NPI | 1740894757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1101X Dietitian, Registered, Nutrition, Gerontological (Licence: PA 833205) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA 833205) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PA 833205) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |