NPI | 1548473994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 00945087) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2156) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2009-07-02 |