| NPI | 1689254450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86066833) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 6878) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-06-08 |