| NPI | 1609572643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OH LD.6209) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.6209) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |