| NPI | 1841385440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME D1520) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0681) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-08-20 |