| NPI | 1831330752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000005) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 000706-01) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |