| NPI | 1669715678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 18175007) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 007876) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2014-01-30 |