NPI | 1639585995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 725073) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000154) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2014-07-08 |