| NPI | 1235707688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX5297) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: MD DX5297) |
| 171400000X | |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2021-06-13 |