NPI | 1841611449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX2676) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 692) |
Enumeration Date | 2013-12-27 |
Last Update Date | 2014-02-18 |