| NPI | 1508223439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7628) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL ND 7628) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ND7628) | |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2021-05-06 |