| NPI | 1407328651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 011003) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY CNS17054) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2022-05-26 |