NPI | 1730969718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: OH 133VN1501X) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 101YM0800X) |
126800000X Dental Assistant (Licence: OH 12800000X) | |
Enumeration Date | 2023-10-05 |
Last Update Date | 2023-10-05 |