| NPI | 1003157975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| Enumeration Date | 2013-03-02 |
| Last Update Date | 2013-03-02 |