| NPI | 1023760881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: VT 074013246) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 006617) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: VT 07413246) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |