NPI | 1801333018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2010010774) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2010010774) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2024-06-20 |