NPI | 1790291128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2623) |
Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: AL 2623) |
Enumeration Date | 2017-12-21 |
Last Update Date | 2020-04-22 |