| NPI | 1942870761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NC L006431) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC L006431) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-30 |