| NPI | 1699912170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005723-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND4842) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |