| NPI | 1679776181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 004637) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC NAT451) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |