NPI | 1255075867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86172316) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 011004) |
Enumeration Date | 2022-04-21 |
Last Update Date | 2024-05-09 |