| NPI | 1285650309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 760) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2267) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-12-03 |