| NPI | 1205329190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4566) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-04-05 |