| NPI | 1235864570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 2666) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 5633) |
| 133V00000X Dietitian, Registered (Licence: NY 11701) | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-08-29 |