| NPI | 1144741513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX4254) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CNS17324) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-04-20 |