| NPI | 1073176376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 9950-01) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 86056517) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-01-18 |