NPI | 1376172437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 86088484) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 4868274-4901) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2020-04-02 |