| 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 |