| NPI | 1811207020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 00946879) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007022) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2021-01-29 |