| NPI | 1104970284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006449) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 003153-1) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-07-17 |