| NPI | 1922009034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 005623-1) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: NY 189769) |
| 133V00000X Dietitian, Registered (Licence: NY 005623-1) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-03-27 |