| NPI | 1659618122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001582) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L001582) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NC L001582) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |