NPI | 1417236811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 803182) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OR 803182) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2011-08-16 |