| NPI | 1609487008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX5894) |
| 133N00000X Nutritionist (Licence: FL ND11884) | |
| 133N00000X Nutritionist (Licence: AZ 18329) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-08-14 |