| NPI | 1457562654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: 915825) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: 915825) |
| 133V00000X Dietitian, Registered (Licence: FL ND4663) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2007-07-08 |