| NPI | 1780645291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 000631) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 000631) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2008-05-02 |