| NPI | 1184251282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 010327) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 86118810) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2021-04-15 |