| NPI | 1053431486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 004777-1) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CT 000920) |
| 133V00000X Dietitian, Registered (Licence: CT 000920) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-07-31 |