| NPI | 1881256840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX4650) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 009857-1) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2024-05-06 |