| NPI | 1881108702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009475-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86080692) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2019-08-05 |