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 |