| NPI | 1598469256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 86095171) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN6043) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-10-06 |