| NPI | 1710249719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008146) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 968573) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-03-14 |