| NPI | 1760571616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2295) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: MA 2295) |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: MA 2295) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-08-07 |