| NPI | 1225655640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 0102201) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NY 0102201) |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NY 0102201) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |