| NPI | 1306081401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 934547) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 0059701) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2009-09-02 |