NPI | 1235992389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND12796) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND12796) |
Enumeration Date | 2024-02-01 |
Last Update Date | 2024-02-01 |