| NPI | 1033761481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86095941) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-07-28 |