NPI | 1205495157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 1673) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: AL 1673) |
133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: AL 1673) | |
Enumeration Date | 2019-06-12 |
Last Update Date | 2019-06-12 |