| NPI | 1578263786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NJ 86171788) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 86171788) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-04-11 |