| NPI | 1013759091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 1463) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN6899) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-12 |