| NPI | 1568210805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 838781) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 133VN1101X Dietitian, Registered Nutrition, Gerontological (Licence: 838781) | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |