| NPI | 1609767870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 86299437) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-08-15 |