| NPI | 1568584167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA dn003698) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: PA DN003698) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-08-10 |