| NPI | 1396080693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007424-1) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 007424-1) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: NY 007424-1) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |