| NPI | 1568765808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: MO 2001000724) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2001000724) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2025-04-17 |