NPI | 1861884876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2014031794) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1969) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2015-02-27 |