| NPI | 1538418454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005525) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 944798) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2023-01-26 |