| NPI | 1417672007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 000000) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 174H00000X Health Educator | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-08-14 |