| NPI | 1487957064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 1021837) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 1021837) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2024-08-27 |