| NPI | 1558691147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 001977-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004152) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |