| NPI | 1063093698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86055945) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 010478-01) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-01-03 |