| NPI | 1497099238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 1083997) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 007270) |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2012-11-17 |