| NPI | 1972093888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009597) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 009597) |
| 174N00000X Lactation Consultant, Non-RN (Licence: 282242) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-08-22 |