| NPI | 1952058810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: VA 18336) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX5414) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-04-13 |