| NPI | 1417312166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 972278) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 8995099) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2018-06-20 |