| NPI | 1629708284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 86118017) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86118017) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |