| NPI | 1710460530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 013509) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NM LD-1215) |
| 133V00000X Dietitian, Registered (Licence: CA 86068154) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2026-07-01 |