NPI | 1609205871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1034188) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 1034188) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2018-08-23 |