| NPI | 1942448337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 001119) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003975) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2018-05-29 |