NPI | 1194172239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 86044893) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10172698) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2021-12-20 |