| NPI | 1417451402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86022734) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 1916) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2019-11-12 |