| NPI | 1699213769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: DC DI 100000892) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX3349) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2021-06-02 |