| NPI | 1730560756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: FL ND 847) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL RDN 721028) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |