| NPI | 1336995844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: ID D-1510) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-1510) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-06-03 |