| NPI | 1659667103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 01017038) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 007090) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |