| NPI | 1770345597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 5695) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 002220) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-05-07 |