| NPI | 1477930857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: AL 964618) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: AL 964618) |
| 133V00000X Dietitian, Registered (Licence: AL 964618) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |