NPI | 1922482363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 849921) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY KY-1250) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-07-15 |