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 |