| NPI | 1780985002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 524) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: NE 524) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |