| NPI | 1710455878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 376J00000X Homemaker | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2019-06-11 |