| NPI | 1073885984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 01070247) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 1070247) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2017-05-17 |