| NPI | 1902449796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 000905-1) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |