| NPI | 1891858510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 966908) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 966908) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |