| NPI | 1962960211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 86069600) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006667) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-12-15 |