| NPI | 1346712494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008500) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: PA DN008500) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2026-02-14 |