| NPI | 1972136323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 1068) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME DI1500) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-10-29 |