| NPI | 1619244951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 00608569) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NJ 00608569) |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: NJ 00608569) | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |