| 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 |