NPI | 1578039806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009639-1) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86084762) |
Enumeration Date | 2018-10-13 |
Last Update Date | 2019-01-24 |