NPI | 1245508167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN0000628) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA 1038153) |
Enumeration Date | 2011-12-06 |
Last Update Date | 2021-02-19 |