| NPI | 1063450922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001893) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005365) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-02-02 |