| NPI | 1417595273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 726749) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 726749) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |