| NPI | 1154616365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 00978064) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 48 006579) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2020-12-29 |