| NPI | 1639461619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00754) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: MA 3044) |
| 133V00000X Dietitian, Registered (Licence: MA 3044) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2013-11-15 |