| NPI | 1811368046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86017438) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2024-01-02 |