NPI | 1174988042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 32846-DI-3) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 32846DI-1) |
Enumeration Date | 2015-12-20 |
Last Update Date | 2019-09-06 |