| NPI | 1124269279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MN LN150) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MN N150) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2021-10-28 |