NPI | 1881108702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009475-1) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86080692) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2019-08-05 |