| NPI | 1144853979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: MA 4621) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |