| NPI | 1962143610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005113-1) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 005113) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-10-16 |