| NPI | 1538311337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 005329-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 810734) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |