| NPI | 1831492719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006923-1) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 21110073) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2012-05-11 |