| NPI | 1568747749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005112) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 005112) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: NY 005112) | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NY 005112) | |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: NY 05112) | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: NY 005112) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |