| NPI | 1790125342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 874345) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 8083782) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |