| NPI | 1811391915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MN R 089641-8) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: ND R18777) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |