NPI | 1225428360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004396) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3049) |
133V00000X Dietitian, Registered (Licence: SC 1251) | |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |