| NPI | 1811262983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA dn007973) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007664) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2025-11-30 |