| NPI | 1598137853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3716) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 1420) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-03-06 |