| NPI | 1508458431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2024-03-01 |