| NPI | 1912142118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 923) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: DC DI100000255) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2018-07-09 |