NPI | 1124150966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 890) |
Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PR 890) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2019-08-15 |