| NPI | 1669949517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1318) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 6331040-4901) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |