| NPI | 1407550957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 86176626) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37003404A) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |