| NPI | 1568037125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86119651) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010571) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-03-01 |