| NPI | 1396701215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: LA 851) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |