| NPI | 1578682431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 303311-031) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703039858) | |
| 171100000X Acupuncturist (Licence: WI 423-055) | |
| 174400000X Specialist | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-05-04 |