| NPI | 1326404500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 1094732) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND12529) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2024-12-11 |