NPI | 1356954317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2066) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MN 2066) |
133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management (Licence: MN 2066) | |
Enumeration Date | 2020-08-28 |
Last Update Date | 2023-05-23 |