| NPI | 1609095959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 812) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 295) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-06-28 |