| NPI | 1265709091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 59001861) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007517) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2020-09-23 |