| NPI | 1154954220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 010192) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 010192) |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NY 010192) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2023-04-11 |