| NPI | 1376387217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN5430) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010649) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |