| NPI | 1689630824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 003464-1) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: NY 003464) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-10-06 |