Emily Gustafson, IBCLC Valid NPI

Individual provider · Nutrition Education Nutritionist · San Diego, CA

NPI

1053655761

Type

Individual (Type 1)

Primary specialty

Nutrition Education Nutritionist (Nutritionist)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133NN1002X

Sex

Female

Sole proprietor

Yes

Enumerated

2012-11-19

Last updated

2012-11-19