| NPI | 1396282273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 5793) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-10-25 |