| NPI | 1962826560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: GA LD002687) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: SC 825) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |