| NPI | 1942020961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 86169602) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010936) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |