| NPI | 1194398156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 819264) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 819264) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NY 819264) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |