| NPI | 1417381997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 01100362) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 1100362) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2024-12-02 |