NPI | 1669936035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60659113) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D920) |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-01-29 |