| NPI | 1760125207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |