| NPI | 1265633028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NM 458) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM 458) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-03-18 |