NPI | 1821478827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 950484) |
Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: TX 950484) |
133V00000X Dietitian, Registered (Licence: TX DT80230) | |
Enumeration Date | 2015-06-04 |
Last Update Date | 2024-07-09 |