NPI | 1801423132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 86056727) |
Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: OR 86056727) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2022-09-06 |