| NPI | 1760832950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 1040167) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-08-03 |