| NPI | 1003476417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1643) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TN 2733) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-12-14 |