| NPI | 1205373529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008847) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 008847-01) |
| 133V00000X Dietitian, Registered (Licence: NY 008847-01) | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-07-07 |