| NPI | 1396465449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86293471) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-10-24 |