| NPI | 1043690134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004155) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN004155) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: PA DN004155) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |