| NPI | 1407259765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MA 4305) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: RI LDN00802) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2018-03-17 |