| NPI | 1639312770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 006739-1) |
| 133V00000X Dietitian, Registered (Licence: CT 001284) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2015-02-19 |