| NPI | 1386876381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IN 583390) | 
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT81223) | 
| Enumeration Date | 2009-08-10 | 
| Last Update Date | 2022-07-07 |