| NPI | 1265857916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TN 1950) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 1950) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TN 1950) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |