| NPI | 1760756142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007335-1) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 07335-1) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2013-07-09 |