| NPI | 1528300589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1407) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2796) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-09-11 |