| NPI | 1558565192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME D1755) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME DI755) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-09-03 |