| NPI | 1588488043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 002459) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN7627) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |