| NPI | 1033232830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: NJ 3851) |
| Additional Taxonomies | 111NR0400X (Licence: NY 011256) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2013-09-16 |