| NPI | 1326357757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 1315) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 0026411) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2023-11-01 |