| NPI | 1255113460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 172A00000X Driver | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |