NPI | 1780218925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 715) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND2964) |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |