| NPI | 1578039806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009639-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86084762) |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2019-01-24 |