NPI | 1063543924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 1788) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 1788) |
133V00000X Dietitian, Registered (Licence: MA 722185) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2018-09-21 |