| NPI | 1255659306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006537) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 919702) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |