NPI | 1124479464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2012037877) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1805) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2016-06-28 |