NPI | 1366265795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX7161) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 3881) |
Enumeration Date | 2024-11-04 |
Last Update Date | 2025-07-18 |