| NPI | 1588987911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 001272) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 006478) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2018-04-05 |