| NPI | 1518559327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 5154) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME DI1608) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-09 |