| NPI | 1093005027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 007422) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 1042977) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2018-10-10 |