| NPI | 1194544692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 012676-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 278962) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-08-30 |