| NPI | 1982939799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003171) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007512-01) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2023-09-13 |