| NPI | 1699432096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 4152) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TN 4152) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2023-08-16 |