| NPI | 1346097995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 133N00000X Nutritionist |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |