| NPI | 1578619490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 22016) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AZ 22016) |
| 208D00000X General Practice (Licence: AZ 22016) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-12-20 |