| NPI | 1497170732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: DC DI100000483) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD DX3228) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |