| NPI | 1750671350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004573) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 01072801) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2023-03-21 |