| NPI | 1104683135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN5642) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 5642) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-05-23 |