| NPI | 1073556460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009172) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 20720275) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-03-17 |