| NPI | 1043810245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 106067) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86091290) |
| 133V00000X Dietitian, Registered (Licence: NE 1505) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IA 106067) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NE 1505) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-12-03 |