| NPI | 1245779677 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric | 
| Additional Taxonomies | 133N00000X Nutritionist | 
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2017-02-17 | 
| Last Update Date | 2017-02-17 |