| NPI | 1104548098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |