| NPI | 1689959801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 967127) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2014-05-13 |