| NPI | 1831635044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: NJ 25MT00064700) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 897432) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |