| NPI | 1427519826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6681) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX4719) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-03-13 |