NPI | 1407274020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004358) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 978079) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |