| NPI | 1063196079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6632) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN1409) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2026-03-20 |