| NPI | 1619773215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX7138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R229845) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |