| NPI | 1639138738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000669) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN000669) |
| 133N00000X Nutritionist (Licence: NY 005377-1) | |
| 133V00000X Dietitian, Registered (Licence: NY 005377-1) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2011-09-15 |