NPI | 1104534643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10217394) |
Additional Taxonomies | 174400000X Specialist (Licence: 32308621) |
Enumeration Date | 2022-11-14 |
Last Update Date | 2025-07-10 |