| NPI | 1245875079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 86056417) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-05-04 |