| NPI | 1548693211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 007482) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered (Licence: 1046501) | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2020-01-14 |