NPI | 1508388174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2760) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: LA 2760) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2018-03-17 |