| NPI | 1649586793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN-000040) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: DE DN-0000400) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: DE DN-0000400) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |