| NPI | 1790296721 | 
|---|---|
| Former Name | CARLI COUGHANOWR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133N00000X Nutritionist | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education | 
| Enumeration Date | 2017-10-17 | 
| Last Update Date | 2018-03-17 |