| NPI | 1275055485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN4039) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-04-15 |