| NPI | 1609205871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1034188) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 1034188) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2018-08-23 |