| NPI | 1972955789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2015002798) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: KS 2002) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |