| NPI | 1720661622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009350-01) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 1068495) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-09-09 |