| NPI | 1447982400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX5432) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CT 002982) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |