| NPI | 1083697254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 001043) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 001043) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-10-09 |