NPI | 1619594512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 074.0134254) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2019-001165-NU-R) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2021-12-02 |