NPI | 1396179636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000354) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX2883) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2013-08-22 |