| NPI | 1699045518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 002395-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2024-06-07 |