| NPI | 1255891420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86109513) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 009623) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |