| NPI | 1205218872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD004395) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: GA LD004395) |
| 133N00000X Nutritionist (Licence: GA LD004395) | |
| 133V00000X Dietitian, Registered (Licence: GU LD004395) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-06-12 |