| NPI | 1962877142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 5138906-49011111) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: UT 951491) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2023-05-25 |