NPI | 1639215650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 003436-1) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 003436-1) |
133V00000X Dietitian, Registered (Licence: 800945) | |
133V00000X Dietitian, Registered (Licence: 222-0107) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |