| NPI | 1386172955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: RI LDN00916) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0893) |
| 133V00000X Dietitian, Registered (Licence: MA 4157) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-11-01 |