| NPI | 1396562344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TN 4415) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4415) |
| 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care (Licence: TN 4415) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-10-22 |