| NPI | 1770981516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL nd7648) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 007934-1) |
| 133V00000X Dietitian, Registered (Licence: NY 1049759) | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2024-03-14 |