| NPI | 1891010575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 813060) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L001281) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2015-02-05 |