| NPI | 1922086214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 716993) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 000745) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2016-06-29 |