| NPI | 1437512720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3850) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0968) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-01-16 |