| NPI | 1932615184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6563) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0920) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2023-12-14 |