| NPI | 1073162806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: UT 2726704901) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: UT 2204867) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |