| NPI | 1124493929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 008507) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 863887) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-03-04 |