| NPI | 1306822473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NC L000192) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L000192) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-02-08 |