| 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 |