| NPI | 1043757149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: SC 2758) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: IL 164.006966) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-07-22 |