| NPI | 1184903734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH LD7357) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L002537) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-05-31 |