| NPI | 1982212676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 008854) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 008854) |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2021-10-19 |