| NPI | 1740801232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5177) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DE DN-0010852) |
| 133N00000X Nutritionist (Licence: MD DX5177) | |
| 133N00000X Nutritionist | |
| 133N00000X Nutritionist (Licence: VA CNS18228) | |
| 133N00000X Nutritionist (Licence: IL 164.00899) | |
| 133N00000X Nutritionist (Licence: DE DN-0010852) | |
| 133V00000X Dietitian, Registered (Licence: IL 164.00899) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2021-09-01 |