NPI | 1154075992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 8968127-4901) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: UT 8968127-4901) |
Enumeration Date | 2022-02-10 |
Last Update Date | 2024-10-11 |