NPI | 1902117724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 0014201) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 0014201) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2015-05-28 |