| NPI | 1639400088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI935) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 555) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |