| NPI | 1760143085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VT 074.0134313) |
| 133V00000X Dietitian, Registered (Licence: PA DN007782) | |
| 133V00000X Dietitian, Registered (Licence: MS D2229) | |
| 133V00000X Dietitian, Registered (Licence: DE DN-0010942) | |
| 133V00000X Dietitian, Registered (Licence: KY 276301) | |
| 133V00000X Dietitian, Registered (Licence: OH LD.08944) | |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-06-14 |