| NPI | 1467654954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WA DI00001496) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0639) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-02-19 |