| NPI | 1285174524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX #DT84672) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT84672) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-04-06 |