| NPI | 1275812042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7187) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 48007579) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2020-08-05 |