| 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 |