| NPI | 1003020884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 004612-1) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: NY 714205) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-06-24 |