| NPI | 1124796370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 18004653203) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT Pending) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-03 |