NPI | 1679545222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 854582) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001281) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2009-05-29 |