NPI | 1346725686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 0099486-1) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86086875) |
Enumeration Date | 2018-10-02 |
Last Update Date | 2018-10-02 |