| NPI | 1689130494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1926) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 1555) |
| 133V00000X Dietitian, Registered (Licence: OR 10251900) | |
| 133V00000X Dietitian, Registered (Licence: IL 164.006493) | |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2025-04-06 |