| NPI | 1003020462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 001919) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 001919) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 834048) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |