| NPI | 1548595705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX2848) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: DC NU100000136) |
| 133N00000X Nutritionist | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |