| NPI | 1306816731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1763) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L001452) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-02-09 |