| NPI | 1982934584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MT 560) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 560) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2012-10-11 |