| NPI | 1356799670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008529) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86033329) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-10-15 |