| NPI | 1497103873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004875) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 48 008170) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2021-05-07 |