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 |