| NPI | 1215710777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND13168) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010374-01) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-09-16 |