| NPI | 1679123715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 847105) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005263-01) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-05-17 |