| NPI | 1033363718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 974378) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD005717) |
| Enumeration Date | 2008-11-08 |
| Last Update Date | 2021-05-26 |