| NPI | 1801881115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 708302) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 708302) |
| 133N00000X Nutritionist (Licence: LA 708302) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: LA 708302) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2021-01-05 |