| NPI | 1275951287 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133N00000X Nutritionist | 
| Additional Taxonomies | 172V00000X Community Health Worker | 
| 132700000X Dietary Manager | |
| Enumeration Date | 2014-04-07 | 
| Last Update Date | 2020-01-30 |