| NPI | 1114366358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 133N00000X Nutritionist |
| 174H00000X Health Educator | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |