| NPI | 1730784919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010542) |
| 133V00000X Dietitian, Registered (Licence: CT 1959) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2021-07-06 |