| NPI | 1114154689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4006) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 948784) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2025-05-09 |