NPI | 1922209915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 17783) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 152) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2014-12-01 |