| NPI | 1154805414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 874642) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND9385) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2020-08-13 |