| NPI | 1982094082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: KS 788) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 788) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2019-12-17 |