| NPI | 1043775240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: AZ 853013) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-06-19 |