| NPI | 1902521768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6518) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 86171633) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-11-16 |