| NPI | 1912292236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: FL ND3813) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND 3813) |
| 133V00000X Dietitian, Registered (Licence: FL ND 3813) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |