| NPI | 1801668249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 00731701) |
| Additional Taxonomies | 133VN1101X Dietitian, Registered, Nutrition, Gerontological (Licence: NY 00731701) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |