| NPI | 1033386958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 001421) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 006605-1) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2019-12-11 |