| NPI | 1972751519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 912597) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC 912597) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |