| NPI | 1962644898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NY 006280-1) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-30 |