| NPI | 1558396994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: FL NC 122) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 1003) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |