NPI | 1134533201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 982086) |
Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: VA 982086) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2014-06-17 |