NPI | 1174969695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 700584) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA R700584) |
133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
Enumeration Date | 2013-05-13 |
Last Update Date | 2020-11-30 |