| NPI | 1750976908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: NY 86072330) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 009530) |
| 133V00000X Dietitian, Registered (Licence: NY 86072330) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-08-28 |