NPI | 1376904664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004515) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86021177) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2018-11-01 |