| NPI | 1538542550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007631) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004863) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-01-29 |