| NPI | 1942800180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: DC NU10000228) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX5103) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |