| NPI | 1992167019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2017004359) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2017004359) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-04-17 |