| NPI | 1922829076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 012353-01) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86057179) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2025-02-26 |