NPI | 1770936536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 215) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD7998) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2018-01-11 |