| NPI | 1386860229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 722281) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 005782-1) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 20010430) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-01-16 |