NPI | 1194021204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: MD 01061924) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2013-09-19 |