| NPI | 1790759587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000850) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 003627) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2010-11-08 |