| NPI | 1386710366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MT 142) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MT 123) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |