| NPI | 1114973096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: NY 005109) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005109) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |