| NPI | 1295412096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 171400000X |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |