| NPI | 1376918094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008766) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86083970) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2016-10-28 |