| NPI | 1659500502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006661) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 972384) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |