| NPI | 1659628485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007360) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 1007748) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2022-03-23 |