NPI | 1831704170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.09187) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006384) |
Enumeration Date | 2020-09-14 |
Last Update Date | 2021-08-08 |