| NPI | 1992004519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD003030) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: SC 806) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2015-10-01 |