| NPI | 1134294168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 003635) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3992) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-08-11 |