| NPI | 1053744151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH LD7206) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD DX2861) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |