| NPI | 1972234789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L007249) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4088) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-12-09 |