NPI | 1659701019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX3515) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3515) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2013-11-22 |