| NPI | 1265136253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 40230-DI-0) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 009479) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |