| NPI | 1679982656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX3296) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: MD DX3296) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |