| NPI | 1255075867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86172316) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 011004) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-05-09 |