| NPI | 1518601707 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 003410-1)  | 
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NY 003410-1)  | 
| Enumeration Date | 2022-04-24 | 
| Last Update Date | 2022-04-24 |