| NPI | 1598963050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA SP011696) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI 953267) |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-12-12 |