NPI | 1093113029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 1050617) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003836) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2016-12-02 |