| NPI | 1194448803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 86295971) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NJ 86295971) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |