NPI | 1609349315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 86073959) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-01-04 |