| NPI | 1235490145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NY 007497) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 749701) |
| 133V00000X Dietitian, Registered (Licence: NY 007497-01) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-02-09 |