| NPI | 1053843805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: VA 21700761) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 174H00000X Health Educator | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2018-02-21 |