| NPI | 1588023147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1903) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4058) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2023-10-04 |