| NPI | 1134173271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8012) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: FL OS8012) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-06-15 |