| NPI | 1619614005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 5234-NU-NU) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN01176) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |