| NPI | 1467829077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 894227) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 006714-1) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |