| NPI | 1225813322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011603) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-03-07 |