| NPI | 1376888503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CT 21310346) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 706293) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2023-01-31 |