| NPI | 1114261039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002722) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NC L002722) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-08-27 |