| NPI | 1689110835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 488387) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 6855194) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |