| NPI | 1558128843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D2199) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 01044601) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |