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 |