| NPI | 1942567680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PR 00941561) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 1492) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2019-10-21 |