| NPI | 1376082479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4165) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN00887) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |