| NPI | 1811234198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 750) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: SC 750) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: SC 750) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |