NPI | 1215336011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1887) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2014000860) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2021-04-22 |