| NPI | 1851124820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 2686) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 011318) |
| 133V00000X Dietitian, Registered (Licence: MA LDN6504) | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |