| NPI | 1881116036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 6742) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 1422) |
| 133V00000X Dietitian, Registered (Licence: MI 86021985) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2023-10-12 |