| NPI | 1619699055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6792) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: RI LDN01180) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-01-13 |