| NPI | 1154020337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011153) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006453) |
| 133V00000X Dietitian, Registered (Licence: MA 5068-NU-NU) | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |