| NPI | 1881349744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1740) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-05-05 |