| NPI | 1386295509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4901-NU-NU) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 1039) |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |