NPI | 1225315294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 106335) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60190595) |
Enumeration Date | 2011-11-04 |
Last Update Date | 2022-05-10 |