NPI | 1699373761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5182) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD 86173142) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2021-02-04 |