| NPI | 1831512201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 1062142) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 1062142) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2026-01-16 |