NPI | 1295349488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86108791) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 009696) |
Enumeration Date | 2020-09-03 |
Last Update Date | 2024-01-24 |