| NPI | 1164188140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 5021) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN01070) |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2022-01-26 |