| NPI | 1881299683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN01147) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4940-NU-NU) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-07-30 |