| NPI | 1538640925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY CNS-17558) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN007178) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-03-20 |