| NPI | 1902171473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1029206) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007126-1) |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2024-05-29 |