| NPI | 1942794748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 010168) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 3862) |
| 363A00000X Physician Assistant (Licence: NY 022629) | |
| 133V00000X Dietitian, Registered (Licence: 86006810) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2026-04-13 |