| NPI | 1851908727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 246261) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IN 913115) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2021-08-27 |