| NPI | 1457122392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 861503) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |