NPI | 1316412422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4679) |
Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: OH LD.7738) |
133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: KY 168567) | |
Enumeration Date | 2018-10-05 |
Last Update Date | 2020-04-14 |