| NPI | 1669364790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 002463) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN01575) |
| 133V00000X Dietitian, Registered (Licence: MA LDN7034) | |
| 133V00000X Dietitian, Registered (Licence: OR 10259990) | |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2026-07-27 |