| NPI | 1023511649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008862) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 3387) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-02-23 |