| NPI | 1922669969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4147) |
| 133V00000X Dietitian, Registered (Licence: RI 0878) | |
| 133V00000X Dietitian, Registered (Licence: KY 251549) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-05-03 |