| NPI | 1003276858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2011004779) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006630) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |