| NPI | 1497509749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 617611) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 004744-01) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |