NPI | 1679071245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID 6961564) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 86092242) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2024-12-09 |