| NPI | 1205122058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 074.0069760) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010763-01) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2022-10-07 |