| NPI | 1912352246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 257845) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2016-04-23 |