| NPI | 1720243827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006391) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 006391) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: NY 006391) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-08-31 |