NPI | 1588148696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: FL ND6113) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6113) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2021-05-03 |