| NPI | 1639667538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CT 1647) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CT 1647) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-08-10 |