| NPI | 1952932402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1159) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 1465) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-05-06 |