| NPI | 1649523754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: PA SP011802) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: PA RN629197) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |