| NPI | 1992840755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT80349) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1122) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2015-12-01 |