NPI | 1427454859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10196548) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-0965) |
133V00000X Dietitian, Registered (Licence: WA DI60934034) | |
Enumeration Date | 2014-11-12 |
Last Update Date | 2019-10-31 |