| NPI | 1407614738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX5986) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: DC NU200000236) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |