| NPI | 1760643423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 871341) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2009-08-15 |