| NPI | 1093163594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NC L002560) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L002560N) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |