| NPI | 1972372332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN01374) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN7014) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |