| NPI | 1659829893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011582) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND7450) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2024-10-02 |