| NPI | 1154561983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005333) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 005333) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2010-12-30 |