| NPI | 1043883630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NJ 86066614) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN007426) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-10-01 |