| NPI | 1679320659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86093584) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 010332) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |