| NPI | 1316401003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OT023548) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006406) |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2024-05-30 |