| NPI | 1114319696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: W45695) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: w45695) |
| 133N00000X Nutritionist (Licence: W45695) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-26 |