| NPI | 1861113441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011384) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86290117) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-05-09 |