| NPI | 1508332933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008910) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX6047) |
| 133V00000X Dietitian, Registered (Licence: AL 5289) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-08-30 |