| NPI | 1881218188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86059857) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 010062) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |