NPI | 1508134560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NE 1021) |
Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: NE 1021) |
133V00000X Dietitian, Registered (Licence: NE 1021) | |
133N00000X Nutritionist (Licence: NE 1021) | |
Enumeration Date | 2011-12-06 |
Last Update Date | 2014-04-06 |