NPI | 1013762574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN4675) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: MA LDN4675) |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-04-18 |