| NPI | 1720034168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 48 001110) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 48 001110) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NY 48 001110) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-07-21 |