| NPI | 1942892336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 099868) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86082994) |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2023-05-03 |