| NPI | 1235315359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2012-04-05 |