| NPI | 1962515908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L000681) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY L000681) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-08-30 |