| NPI | 1164815056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 926928) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 2990) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MA 926928) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |