| NPI | 1225528177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86066637) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 009926) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2020-02-10 |