NPI | 1396113031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: MA 3633) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 3633) |
133V00000X Dietitian, Registered (Licence: MA 3633) | |
Enumeration Date | 2015-09-11 |
Last Update Date | 2020-04-09 |