| NPI | 1023442068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10609) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 0008341) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2026-07-10 |