| NPI | 1912341314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002584) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L002584) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L002584) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NC L002584) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NC L002584) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2016-08-30 |