| NPI | 1265985899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 972878) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-06-01 |