| NPI | 1659508174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 718208) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |