| NPI | 1255043428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN5701) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 5701-NU-NU) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-03-07 |