NPI | 1043690134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004155) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN004155) |
133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: PA DN004155) | |
Enumeration Date | 2015-06-03 |
Last Update Date | 2015-06-03 |