| NPI | 1437454360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI846) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2655) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2021-11-02 |