| NPI | 1093535585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care (Licence: 966480) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 966480) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |