NPI | 1619477478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4011) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000836) |
Enumeration Date | 2018-02-19 |
Last Update Date | 2024-03-19 |