| NPI | 1083035208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND4742) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL ND4742) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2016-04-11 |