| NPI | 1982841235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007010) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 0977415) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2012-12-10 |