| NPI | 1023374584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: UT 7416417-4901) | 
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: UT 7416417-4901) | 
| Enumeration Date | 2012-04-09 | 
| Last Update Date | 2012-04-09 |