| NPI | 1710369178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OR LD-D-000479) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-000479) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |