NPI | 1073046454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 1017780) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CO 1017780) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |