| NPI | 1063844678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: FL ND8843) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 500) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2024-02-16 |