| NPI | 1396469573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009285-01) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86043891) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-10-07 |