| NPI | 1578284899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 86344437) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 86344437) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2025-04-01 |