| NPI | 1609085877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX2974) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5610) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-09-10 |