| NPI | 1629476346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008243) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 008243) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 008243) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2016-11-03 |