| NPI | 1962018937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: NY 884754) |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NY 884754) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |