| NPI | 1063261899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6544) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 011148-01) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |