| NPI | 1730311036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011102) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD dO1266) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2022-11-21 |