| NPI | 1043641061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 983764) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: NY 983764) |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NY 983764) | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: NY 983764) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |