| NPI | 1659449312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 816361) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 000382-1) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-07-08 |