| NPI | 1578929535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MA 00004021) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86069985) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-30 |