NPI | 1053389494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND 2522) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 818166) |
133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND 2522) | |
Enumeration Date | 2006-03-10 |
Last Update Date | 2008-04-15 |