| NPI | 1356018741 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006094)  | 
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric | 
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 32300853)  | |
| Enumeration Date | 2021-08-24 | 
| Last Update Date | 2024-08-19 |