| NPI | 1396701215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 851) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2025-09-11 |