| NPI | 1396322954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: RI LDN01167) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI 86211441) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2022-01-27 |