| NPI | 1740652692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD D 10151892) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OR LD D 10151892) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |