NPI | 1164765087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3449) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 1010718) |
Enumeration Date | 2013-03-28 |
Last Update Date | 2021-09-21 |