| NPI | 1497319404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2599) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX4282) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |