NPI | 1023409810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6622) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 1043268) |
Enumeration Date | 2015-02-15 |
Last Update Date | 2015-02-15 |