| NPI | 1194261164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 86035089) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 008615-1) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-03-17 |