| NPI | 1235149931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 1287) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME DI1769) |
| 133V00000X Dietitian, Registered (Licence: NH 1338) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-11-03 |