| NPI | 1083896419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 004447-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 133V00000X) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2010-06-17 |