| NPI | 1225462914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7374) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IN 37002294A) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-09-07 |