| NPI | 1659985307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1036587) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007185) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |