| NPI | 1619390432 |
|---|---|
| Former Name | LINDA LEOCADIA RETALLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: 706240) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: CT 000415) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |