| NPI | 1609232867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX6261) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005908) |
| 133V00000X Dietitian, Registered (Licence: NJ 00997559) | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2024-01-17 |