| NPI | 1578341616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 86197922) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 011439) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |