| NPI | 1932766532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 868865) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-06-11 |