| NPI | 1316377625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 7808616) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007470-1) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2019-03-14 |