NPI | 1679350144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
Enumeration Date | 2023-09-11 |
Last Update Date | 2024-06-14 |