| NPI | 1780353086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86078852) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WY 352) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |