| NPI | 1063396554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN01579) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN8314) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2026-01-07 |