| NPI | 1134508682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 008367-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 008367) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2020-04-16 |