NPI | 1073141214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MD 86015246) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD 86015246) |
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: MD 86015246) | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2020-04-01 |