| NPI | 1508010752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD 800039) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-06-29 |