| NPI | 1770878191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 808612) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 003214) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2012-01-12 |