| NPI | 1184188757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: AZ 86074725) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH 08289) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-08-27 |