| NPI | 1487953758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL ND 3428) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2025-10-29 |