| NPI | 1821669847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 010561) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 2043) |
| 133V00000X Dietitian, Registered (Licence: FL 10677) | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-04-27 |