| NPI | 1164775649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007594) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 007594) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NY 007594) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 007594) | |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2020-07-10 |