NPI | 1770127805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 00947888) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: PA 00947888) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |