NPI | 1538381629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 949489) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: HI 929489) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-05-29 |