| NPI | 1225634843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006309) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L006309) | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2022-09-13 |