NPI | 1780671297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002987) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 4771) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2007-11-10 |