| NPI | 1720342892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: HI 868157) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI 868157) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |