| NPI | 1962776542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007038) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 007038) |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: NY 007038) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2013-06-24 |