| NPI | 1578162202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86062607) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: 86062607) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 86062607) | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2022-10-31 |