| NPI | 1821669847 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 010561)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.012334)  | 
| 133V00000X Dietitian, Registered (Licence: GA LD007465)  | |
| 133V00000X Dietitian, Registered (Licence: FL 10677)  | |
| 133V00000X Dietitian, Registered (Licence: CT 2043)  | |
| 133V00000X Dietitian, Registered (Licence: TX DT90869)  | |
| Enumeration Date | 2021-07-09 | 
| Last Update Date | 2025-07-15 |