| NPI | 1003092453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006075) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 953851) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |