| NPI | 1295952737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CT 000615) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000615) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-09-11 |