| NPI | 1992969471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 706623) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2006010863) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: 706623) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2013-03-07 |