| NPI | 1073247474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: LA 3301) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: LA 86297191) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2023-01-31 |