NPI | 1083946982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 726334) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 1111) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |