| NPI | 1740160324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: TX 63400) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: AR PD14748) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |