NPI | 1821210691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 004410) |
Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: NY 708965) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |