| NPI | 1508933128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 000002757) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: RI LDN00585) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-08-27 |