| NPI | 1841858495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 59.001719) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: CT 59.001719) |
| 133N00000X Nutritionist (Licence: CT 59.001719) | |
| 133NN1002X Nutritionist Nutrition, Education (Licence: CT 59.001719) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |