| NPI | 1770798670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 000366) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 808119) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-09 |