NPI | 1790238376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX3653) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: 16920) |
Enumeration Date | 2016-07-29 |
Last Update Date | 2016-07-29 |