NPI | 1275083479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 10549194-4901) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005048) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2018-03-17 |