| NPI | 1790730356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 1279) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MA 1279) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |