| NPI | 1982285763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86046987) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 008634) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-05-12 |