| NPI | 1487770145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000222) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 0063111) |
| 133N00000X Nutritionist (Licence: NY 006311) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-11-25 |