| NPI | 1760644736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2001017572) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: KS 1145) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |