| NPI | 1629816772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6810) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L008079) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-25 |