| NPI | 1558938647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 5278) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 86148522) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |