| NPI | 1376932285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME DI1234) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2019-04-11 |