| NPI | 1942596085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 804905) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 003363-1) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 2193995) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |