| NPI | 1346499878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 00874343) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 002555) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |