| NPI | 1255789004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |