| NPI | 1134524481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: DC DI100000774) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD DX2988) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2016-06-10 |