| NPI | 1306149307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 932208) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2024-11-13 |