| NPI | 1306130661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006952) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 228496) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2011-06-04 |