| NPI | 1154046639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 001975) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2023-10-17 |