NPI | 1487154415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86044052) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004832) |
Enumeration Date | 2018-02-16 |
Last Update Date | 2018-02-16 |