NPI | 1831729227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN01050) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 5000) |
Enumeration Date | 2020-01-24 |
Last Update Date | 2022-01-13 |