| NPI | 1336820935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011095) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN007646) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-01-25 |