| NPI | 1558749622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0749) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN00904) |
| 133V00000X Dietitian, Registered (Licence: MA 4260) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2017-05-05 |