| NPI | 1184021495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005821) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1295) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: SC 1077074) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2021-06-01 |