| NPI | 1699380212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86001106) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: AZ 86001106) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-11-06 |