| NPI | 1518248996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: OK 661) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 661) |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: OK 661) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |