| NPI | 1568836203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008515) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: NY 008515) |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NY 008515) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |