| NPI | 1952783540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: NM LD-1340) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 916298) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT83685) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-10-24 |