| NPI | 1225320997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NM 0796) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX DT81442) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2013-09-18 |