| NPI | 1043053853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN7350) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4347) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-08-18 |