NPI | 1265679070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 896323) |
Additional Taxonomies | 174H00000X Health Educator (Licence: LA 1757) |
Enumeration Date | 2009-01-15 |
Last Update Date | 2012-05-09 |