| NPI | 1871565507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT81389) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81389) |
| 133V00000X Dietitian, Registered (Licence: TX DT05573) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2018-03-17 |