| NPI | 1508125113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 882644) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NV 32956-DI-1) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2021-08-30 |