| NPI | 1801491345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1638) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 59.001891) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-09-19 |