| NPI | 1245354174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IN none necessary) |
| 175F00000X Naturopath (Licence: CA none necessary) | |
| 133N00000X Nutritionist (Licence: CA Univ of Californa) | |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2015-07-07 |