NPI | 1659775450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1064077) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007445) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2022-01-26 |