| NPI | 1275194292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NY 008425-01) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-06-09 |