| NPI | 1639867344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86069323) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-09-13 |