| NPI | 1982243457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86049262) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 008909) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-08-04 |