| NPI | 1477529386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 004656) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 4422841) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2011-11-22 |