| NPI | 1598195497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00768) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3566) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2018-03-17 |