NPI | 1821251844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2001025092) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 503) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2008-07-09 |