| NPI | 1164890935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3830) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 86014100) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-07-22 |