Individual
ADA HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
221 1ST AVE W STE 200, SEATTLE, WA 98119-4223
(512) 693-7045
(512) 399-9039
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
86176345
CA
Other
Enumeration date
06/10/2025
Last updated
04/28/2026
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