| NPI | 1194732917 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 15268)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 15268)  | 
| Enumeration Date | 2006-08-02 | 
| Last Update Date | 2022-04-11 |