| NPI | 1922809623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care (Licence: 86296501) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 86296501) |
| 133V00000X Dietitian, Registered (Licence: 86296501) | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |