| NPI | 1679545222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 854582) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001281) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2009-05-29 |