| NPI | 1194914895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND4544) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL ND4544) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2021-09-14 |