| NPI | 1770686263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 0000025) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 000048-1) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |