| NPI | 1235645425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86071223) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86071223) |
| Enumeration Date | 2017-12-25 |
| Last Update Date | 2025-08-14 |