| NPI | 1316602766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 2277) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86211453) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-06 |