| NPI | 1588429112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1077989) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN3815) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-19 |