| NPI | 1235683772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 1093747) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 008465-1) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2017-04-07 |