| NPI | 1053733428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MT 79779) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MT 79779) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: ID d470) | |
| 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care (Licence: MT 79779) | |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2021-01-29 |