| NPI | 1952172397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: GA LD003919) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 5348) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |